§294s — Title 42 The Public Health and Welfare | U.S. Code

Summary

The Secretary must give grants to accredited allopathic and osteopathic medical schools, nursing schools, and other suitable health training programs to start a rural maternal and obstetric care training demonstration. The grants will pay for training for doctors, medical residents and fellows, nurse practitioners, physician assistants, nurses, certified nurse midwives, home‑visiting workers, paraprofessionals, and other licensed health workers. The goal is to lower preventable maternal deaths and serious maternal illness by improving prenatal care, labor and birth care, and postpartum care in rural community settings. Eligible schools must apply to the Secretary. Grant recipients must use the money to plan, build, and run the training and may use some funds for administration or faculty and department development. Trainings must be based on evidence and can include maternal mental health, substance use disorders, social factors that affect rural people, and ways to improve care for racial and ethnic minority patients and address bias. Recipients must send performance data to the Secretary. By January 1, 2026, the Secretary must report to Congress on service effects, patient demographics, maternal and infant outcomes before and after the program, and recommend whether to continue it. Up to $5,000,000 is authorized for each fiscal year 2023 through 2027.

Title 42, §294s

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary shall award grants to accredited schools of allopathic medicine, osteopathic medicine, and nursing, and other appropriate health professional training programs, to establish a training demonstration program to support—

(1)training for physicians, medical residents, fellows, nurse practitioners, physician assistants, nurses, certified nurse midwives, relevant home visiting workforce professionals and paraprofessionals, or other professionals who meet relevant State training and licensing requirements, as applicable, to reduce preventable maternal mortality and severe maternal morbidity by improving prenatal care, labor care, birthing, and postpartum care in rural community-based settings; and

(2)developing recommendations for such training programs.

(b)To be eligible to receive a grant under subsection (a), an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.

(c)(1)A recipient of a grant under subsection (a)—

(A)shall use the grant funds to plan, develop, and operate a training program to provide prenatal care, labor care, birthing, and postpartum care in rural areas; and

(B)may use the grant funds to provide additional support for the administration of the program or to meet the costs of projects to establish, maintain, or improve faculty development, or departments, divisions, or other units necessary to implement such training.

(2)The recipient of a grant under subsection (a) shall ensure that training programs carried out under the grant are evidence-based and address improving prenatal care, labor care, birthing, and postpartum care in rural areas, and such programs may include training on topics such as—

(A)maternal mental health, including perinatal depression and anxiety;

(B)substance use disorders;

(C)social determinants of health that affect individuals living in rural areas; and

(D)improving the provision of prenatal care, labor care, birthing, and postpartum care for racial and ethnic minority populations, including with respect to perceptions and biases that may affect the approach to, and provision of, care.

(d)(1)(A)The Secretary shall evaluate the outcomes of the demonstration program under this section.

(B)Recipients of a grant under subsection (a) shall submit to the Secretary performance metrics and other related data in order to evaluate the program for the report described in paragraph (2).

(2)Not later than January 1, 2026, the Secretary shall submit to Congress a report that includes—

(A)an analysis of the effects of the demonstration program under this section on the quality, quantity, and distribution of maternal health care services, including prenatal care, labor care, birthing, and postpartum care services, and the demographics of the recipients of those services;

(B)an analysis of maternal and infant health outcomes (including quality of care, morbidity, and mortality) before and after implementation of the program in the communities served by entities participating in the demonstration; and

(C)recommendations on whether the demonstration program should be continued.

(e)There are authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2023 through 2027.

Notes & Related Subsidiaries

Editorial Notes

Codification Another section 764 of act July 1, 1944, is classified to section 294t of this title.

Prior Provisions

A prior section 294s, act

July 1, 1944, ch. 373, title VII, § 749, as added Oct. 12, 1976, Pub. L. 94–484, title IV, § 408(a), 90 Stat. 2280; amended Aug. 1, 1977, Pub. L. 95–83, title III, § 307(f), 91 Stat. 391, Pub. L. 96–88, title III, § 301(a)(1), title V, § 507, 93 Stat. 677, 692, which related to traineeships for students in other graduate programs, was renumbered section 791A of act

July 1, 1944, by Pub. L. 97–35 and transferred to section 295h–1a of this title, and was subsequently omitted in the general amendment of this subchapter by Pub. L. 102–408.

§294s Rural Maternal and Obstetric Care Training Demonstration

Summary

Title 42, §294s

Notes & Related Subsidiaries

Editorial Notes

Prior Provisions

Citations & Metadata